实用中医内科杂志2024,Vol.38Issue(12) :66-71.DOI:10.13729/j.issn.1671-7813.Z20240347

胆汁酸-肠道激素轴调控2型糖尿病的作用机制及中医药研究进展

Mechanism of Bile Acid-Intestinal Hormone Axis Regulating Type 2 Diabetes Mellitus and Research Progress in Traditional Chinese Medicine

马朝晖 张东鹏 罗江卫 曲静 张莉莉 冯媛媛
实用中医内科杂志2024,Vol.38Issue(12) :66-71.DOI:10.13729/j.issn.1671-7813.Z20240347

胆汁酸-肠道激素轴调控2型糖尿病的作用机制及中医药研究进展

Mechanism of Bile Acid-Intestinal Hormone Axis Regulating Type 2 Diabetes Mellitus and Research Progress in Traditional Chinese Medicine

马朝晖 1张东鹏 2罗江卫 3曲静 1张莉莉 1冯媛媛1
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作者信息

  • 1. 甘肃中医药大学,甘肃兰州 730000
  • 2. 甘肃省中医院,甘肃兰州 730050
  • 3. 陇南市武都区第一人民医院,甘肃陇南 746099
  • 折叠

摘要

胆汁酸对促进肠道脂肪的消化和维持体内胆固醇代谢稳态起重要作用.近些年研究表明,胆汁酸能作为信号分子,分别激活核受体和膜受体,促进肠道激素成纤维细胞生长因子19及胰高血糖素样肽-1的分泌,对机体葡萄糖调节发挥作用.胆汁酸谱的变化与胰岛素抵抗和2型糖尿病的发病机制有关,法尼醇X受体和G蛋白偶联胆汁酸受体-5已被证明能调整胆汁酸代谢.该文从胆汁酸-肠道激素轴角度探讨了其调控2型糖尿病的作用机制,并从中医理论,中药单体/提取物,中药复方等角度进行了相关文献综述,旨在为2型糖尿病的治疗提供新思路.

Abstract

Bile acids play an important role in promoting the digestion of intestinal fat and maintaining cholesterol metabolic homeostasis in the body.Recent studies have shown that bile acids can act as signaling molecules to activate nuclear receptors and membrane receptors respectively,promoting the secretion of intestinal hormones fibroblast growth factor 19 and glucagon-like peptide-1 and playing a role in the regulation of glucose in the body.Changes in the bile acid profile have been implicated in the pathogenesis of insulin resistance and type 2 diabetes,and farnesoid X receptor and G protein-coupled bile acid receptor-5 have been shown to modulate bile acid metabolism.In this paper,the mechanism of action of bile acid-intestinal hormone axis in regulating type 2 diabetes was discussed,and relevant literature reviews were conducted from the perspectives of traditional Chinese medicine(TCM)theory,TCM monomer/extract and TCM compound,aiming to provide new ideas for the treatment of type 2 diabetes.

关键词

胆汁酸/肠道激素/2型糖尿病/中医药

Key words

bile acids/intestinal hormones/type 2 diabetes/traditional Chinese medicine

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出版年

2024
实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
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